Active NPI
Doretha Marie Guion-Colbert, CERT . IN CASE MGT
- Case Manager/Care Coordinator
- Oklahoma City, OK
National Provider Identifier
1477856136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 21042
- Practice address
- 3305 E Forest Park Dr
Oklahoma City, OK 73121-2225 - Phone
- (405) 424-8352
- Fax
- (405) 424-1624
- NPI assigned
- Dec 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 21042 | OK | Primary |
Addresses
Primary practice location
3305 E Forest Park Dr
Oklahoma City, OK 73121-2225
Mailing address
3305 E Forest Park Dr
Oklahoma City, OK 73121-2225
Phone (405) 424-8352
Other names 1
- Dr. Doretha Marie Guion-Colbert
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21042 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1477856136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 E FOREST PARK DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731212225",
"telephone_number": "405-424-8352",
"fax_number": "405-424-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 E FOREST PARK DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731212225",
"telephone_number": "405-424-8352",
"fax_number": "405-424-1624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUION-COLBERT",
"first_name": "DORETHA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CERT . IN CASE MGT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-17",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": "21042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORETHA",
"last_name": "GUION-COLBERT",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "ED,D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.